The Role and Techniques of Vascular Resection

2016 ◽  
pp. 203-222
Author(s):  
Mark J. Truty
Keyword(s):  
Vascular Resection

scholarly journals Vascular Resection in Minimally Invasive vs Open Pancreaticoduodenectomy

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S61
Author(s):  
R. Panni ◽  
R. Fields ◽  
C. Hammill ◽  
M. Doyle ◽  
W. Chapman ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Vascular Resection ◽  
Open Pancreaticoduodenectomy

scholarly journals Vascular resection for locally advanced pancreatic ductal adenocarcinoma: analysis of long-term outcomes from a single-centre series

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Claudio F. Feo ◽  
Giulia Deiana ◽  
Chiara Ninniri ◽  
Giuseppe Cherchi ◽  
Paola Crivelli ◽  
...  
Keyword(s):  
Pancreatic Ductal Adenocarcinoma ◽  
Locally Advanced ◽  
Operating Time ◽  
Vascular Resection ◽  
Ductal Adenocarcinoma ◽  
Term Survival ◽  
Aggressive Approach ◽  
Long Term Survival ◽  
Cox Regression Analysis

Abstract Background Pancreatic ductal adenocarcinoma (PDAC) is an aggressive malignancy with poor prognosis. Radical surgery is the best option for cure and, nowadays, it is performed by many surgeons also in cases of vascular infiltration. Whether this aggressive approach to a locally advanced PDAC produces a survival benefit is under debate. Most data in the literature come from retrospective comparative studies; therefore, it is still unclear if such an extensive surgery for an advanced cancer is justified. Methods A retrospective review of patients with PDAC treated at our institution over a 12-year period was performed. Data concerning patients’ characteristics, operative details, postoperative course, and long-term survival were retrieved from prospective databases and analysed. Factors associated with poor survival were assessed via Cox regression analysis. Results A total of 173 patients with PDAC were included in the analysis, 41 subjects underwent pancreatectomy with vascular resection for locally advanced disease, and in 132 patients, only a pancreatic resection was undertaken. Demographics, major comorbidities, and tumour characteristics were similar between the two groups. Length of surgery (P=0.0006), intraoperative blood transfusions (P<0.0001), and overall complications (P<0.0001) were significantly higher in the vascular resection group. Length of hospital stay (P=0.684) and 90-day mortality (P=0.575) were comparable between groups. Overall median survival (P= 0.717) and survival rates at 1, 3, and 5 years (P=0.964, P=0.500, and P=0.445, respectively) did not differ significantly between groups. Age ≥70 years and postoperative complications were independent predictors of lower survival. Conclusions Our study confirms that pancreatectomy with vascular resection for a locally advanced PDAC is a complex operation associated with a significant longer operating time that may increase morbidity; however, in selected patients, R0 margins can be obtained with an acceptable long-term survival rate. Older patients are less likely to benefit from surgery.

scholarly journals Pancreaticoduodenectomy with vascular resection for borderline resectable periampullary malignancy

HPB ◽  
2017 ◽  
Vol 19 ◽  
pp. S149
Author(s):  
M. Younis ◽  
I. Nachmany ◽  
N. Lubezky ◽  
R. Nckache ◽  
Y. Goichman ◽  
...  
Keyword(s):  
Vascular Resection ◽  
Borderline Resectable

scholarly journals Vascular resection for hilar cholangiocarcinoma. Analysis of technical challenges

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S315-S316
Author(s):  
R. Alikhanov ◽  
D. Akhaladze ◽  
M. Efanov ◽  
P. Kim ◽  
I. Kazakov ◽  
...  
Keyword(s):  
Hilar Cholangiocarcinoma ◽  
Vascular Resection ◽  
Technical Challenges

Vascular Resection for Hepatocellular Carcinoma

2010 ◽  
pp. 239-259
Author(s):  
Robin D. Kim ◽  
Alan W. Hemming
Keyword(s):  
Hepatocellular Carcinoma ◽  
Vascular Resection

scholarly journals Surgical approaches for carcinoma of the hepatic duct confluence with hepatic vascular resection and reconstruction.

1990 ◽  
Vol 23 (12) ◽  
pp. 2772-2776 ◽  
Author(s):  
Masaru Miyazaki ◽  
Ikuo Udagawa ◽  
Hisao Koshikawa ◽  
Katsuhiro Iinuma ◽  
Hiroshi Itoh ◽  
...  
Keyword(s):  
Hepatic Duct ◽  
Vascular Resection ◽  
Surgical Approaches

Short‐term outcomes after vascular resection for pancreatic tumors: Lessons learned from 72 cases from a single Brazilian Cancer Center

2019 ◽  
Author(s):  
Silvio Melo Torres ◽  
Diego Greatti Vaz da Silva ◽  
Héber S. C. Ribeiro ◽  
Alessandro L. Diniz ◽  
Matheus Melo Lobo ◽  
...  
Keyword(s):  
Lessons Learned ◽  
Vascular Resection ◽  
Pancreatic Tumors ◽  
Cancer Center ◽  
Short Term

Role of Vascular Resection and Reconstruction in Rotationplasty

1989 ◽  
pp. 149-152 ◽  
Author(s):  
A. H. M. Taminiau ◽  
J. W. van der Eijken ◽  
J. H. van Bockel ◽  
M. R. Sobotka ◽  
W. R. Obermann ◽  
...  
Keyword(s):  
Vascular Resection
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